Children's Healthcare of Atlanta · 1 day ago
Account Resolution Coordinator - Professional Billing
Children's Healthcare of Atlanta Support Center
Full-time
Onsite
Entry Level
1+ years expChildren's Healthcare of Atlanta is one of the nation's leading children's hospitals, dedicated to making kids better today and healthier tomorrow. The Account Resolution Coordinator is responsible for managing billing and follow-up for insurance claims, ensuring timely resolution of payment issues and adherence to departmental policies.
ChildrenHealth CareNon Profit
Responsibilities
Performs daily billing of claims to third-party insurance following the guidelines of the UB04 and HCFA 1500 manual
Ensures that special billing needs by payor are performed to prevent denial of claims and delay in payment
Prepares and submits all final bill claims, secondary claims, rebills, and late charges on a daily basis, maintaining a current status
Performs routine follow-up on unpaid insurance claims, taking appropriate action to resolve problems causing delay in reimbursement
Documents all telephone and correspondent communications with third-party payors and guarantors thoroughly via online activity codes
Prioritizes and works proactively on accounts in assigned work queue to ensure all accounts are submitted in a timely manner
Complies with department workflows and routines
Contacts guarantors and other insured parties when additional information is needed and takes appropriate action to resolve any delay in reimbursement
Works correspondence daily, including adding Medicaid eligibility to self-pay and commercial accounts
Works returned mail on high-dollar accounts and correspondences from third-party payors
Takes appropriate action to resolve all insurance, bad debt, and/or self-pay unpaid balances
Qualification
Required
1 year of experience in insurance billing or collections, with a general knowledge of hospital business office functions
High school diploma or equivalent
Knowledge of third-party requirements and policies, including Medicaid, Managed Care, Blue Cross Blue Shield, care management organizations, health maintenance organizations, preferred provider organizations, commercial payors, and self-pay
Must have excellent telephone communication and customer service skills
Excellent written and verbal communications skills
Familiar with medical terminology, including diagnosis and procedure codes
Must be able to meet department/individual goals
Must be able to type 45 words per minute
Must be able to operate personal computer-based systems, including working knowledge of word processing, spreadsheet, and billing software
Preferred
Some college
2 years of experience in insurance billing and/or collections, with a general knowledge of hospital business office functions
Knowledge of key Children's Healthcare of Atlanta patient accounting applications, e.g., Epic Resolute, Dentrix Dental, Clearinghouse, or comparable system
Company
Children's Healthcare of Atlanta
Children’s Healthcare of Atlanta is a non-profit private foundation that focuses on healthcare for children.
10001+ employees
H1B Sponsorship
Children's Healthcare of Atlanta has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (4)
2023 (5)
2021 (1)
Funding
Current Stage
Late StageTotal Funding
$5.12MKey Investors
Hyundai Hope On Wheels
2025-12-03Series Unknown· $0.37M
2023-08-25Grant· $0.12M
2022-09-27Grant· $0.3M
Leadership Team
Frank Grogan
Endpoint Engineering Team Lead - Mobility
M
Michele Silagy
Director Of Recruiting
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